Which of the following symptoms would alert the clinician to

Which of the following symptoms would alert the clinician to

Which of the following symptoms would alert the clinician to the more serious finding of a herniated nucleus pulposus or ruptured disc?
Sam is a 25-year-old man who has been diagnosed with low back strain based on his history of localized low back pain and muscle spasm along with a normal neurological examination.As the clinician, you explain to Sam that low back pain is a diagnosis of exclusion. Which of the following symptoms would alert the clinician to the more serious finding of a herniated nucleus pulposus or ruptured disc?a. Morning stiffness and limited mobility of the lumbar spineb. Unilateral radicular pain symptoms that extend below the knee and are equal to or greater than the back painc. Fever, chills, and elevated erythrocyte sedimentation rated. Pathologic fractures, severe night pain, weight loss, and fatigue

 
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